Illness understanding in patients with advanced lung cancer: curse or blessing?

被引：4

作者：

Janssens, Annelies ^{[1
]}

Kohl, Sisca ^{[1
,2
]}

Michielsen, Toke ^{[2
]}

Van Langendonck, Shana ^{[2
]}

Hiddinga, Birgitta I. ^{[1
]}

van Meerbeeck, Jan P. ^{[1
]}

机构：

[1] Univ Antwerp Hosp, Dept Thorac Oncol, Wilrijkstr 10, B-2650 Edegem, Belgium

[2] Univ Antwerp Hosp, MOCA, B-2650 Edegem, Belgium

来源：

ANNALS OF PALLIATIVE MEDICINE | 2016年 / 5卷 / 02期

关键词：

Early palliative care (EPC); advanced lung cancer; illness understanding; EARLY PALLIATIVE CARE; RANDOMIZED CONTROLLED-TRIAL; OF-LIFE; END; DISCUSSIONS; OUTCOMES; COMMUNICATION; EXPECTATIONS; PATTERNS; EUROPE;

D O I：

10.21037/apm.2016.01.04

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Early palliative care (EPC) should be introduced from the start of the treatment of patients with advanced lung cancer. Unfortunately, this is often not integrated in daily oncologic care. This letter wants to emphasize the importance of offering a holistic approach, meaning EPC to optimize quality of life (QoL). Illness understanding is important because patients with better understanding of their disease choose more often for symptom control and less for an aggressive treatment at the end of life. This illness understanding should be achieved during communication with the treating oncologist. Based on the limited available literature about illness understanding, it seems that an EPC program is necessary when breaking bad news, in order to maintain or improve QoL in patients.

引用

页码：135 / 138

页数：4

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